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Xylitol Poisoning in Dogs

Xylitol Poisoning in Dogs
Xylitol and Your Dog

1. Xylitol is becoming a more frequent cause of toxicity in dogs.

2.  It can cause severe symptoms, even death.

3.  It most commonly happens with dogs eating products made for people, including medications.

4.  If you choose to get medications from a human pharmacy, be sure to have the pharmacist research whether any xylitol is in the product and speak your your veterinarian before giving medications to your dog. 

There are an increasing number of cases of dogs getting sick from ingesting a common sugar substitute, xylitol. This substance causes no problems in people, but in dogs it can cause wild fluctuations in blood sugar, often leading to a severe hypoglycemia. It can also cause liver failure.

Xylitol is widely used as a sugar substitute since it is as sweet as sucrose but has only one–third of the calories. It is a naturally occurring alcohol found in some plant material. It is extracted from birch wood to make the commercial product.

The types of items where xylitol can be found is increasing. It is common in sugarless gum, mints, and candies. It can be found in some foodstuffs, such as baked goods. It is present in some toiletries, such as toothpaste, mouthwash, and other oral care products, such as Crest White Strips. It is found in some over-the-counter medicines: nasal sprays, Flintstones Children's Vitamins, Beano liquid drops, and Nicorette gum. Some tube feeding formulas contain xylitol. Even some prescription medications, specifically Mobic oral suspension,  Gabapentin oral solution, and Zegrid contain xylitol.

Symptoms of Xylitol Poisoning

Once a dog ingests xylitol, symptoms may occur in minutes to hours. At lower doses, hypoglycemia is common. You might notice the dog acting weak, staggering, unable to walk, or even seizing.  At higher doses, it frequently causes liver failure. With this you may see a loss of appetite, vomiting, diarrhea, and jaundice.

It does not take much xylitol to make a dog sick. Even one to two pieces of sugarless gum can cause disease in a small dog.  The problem is that xylitol is not always listed as an ingredient on the label,  or the amount of xylitol in the product may not be detailed. Often it is listed in "Inactive Ingredients," or "Other Ingredients,"  but sometimes it is grouped together with other compounds as "sugar alcohols", or it is not listed at all.  

Veterinarians and veterinary pharmaceutical companies are well aware of this problem, so this is not the source of problems. Dogs become sick when they chew up people's food, toiletries, or medicine containing Xylitol; the other common method of toxicity is when people pick up medications at a human pharmacy for use in their dog. This may be in commercial prescription medications (especially liquids, as they are trying to improve the flavor for people by sweetening their product), or in compounded medications. Always ask the pharmacist to look in their references to see if xylitol is an ingredient in a medicine before giving it to your dog. They undoubtedly will not know this already since it is not an active ingredient and this problem does not occur in people. Always consult your veterinarian before administering any medications to your dog.

Source:

"New Findings on the Effects of Xylitol Ingestion in Dogs". Veterinary Medicine, Dec 2006' pages 791-797.

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  •           8/29/2017

    I love Balboa Pet Hospital! Balboa Pet Hospital's staff is amazing! The staff is knowledgeable, caring and above all honest! I feel confident that my pets are getting the best possible care there. The staff has always taken time to answer all of my questions and if I think of something after my appointment, I can just email! I know I won’t have to wait too long for response.

    Unfortunately, this year I’ve had to make some really difficult decisions. The compassion the staff showed to both my pet and I made these unbearable times tolerable. I am indebted to both Dr. Del Rosso and (the wonderful) Dr. Ravn for their kindness, compassion and dedication.

    If you are new to the area or just looking for a new vet, please give Balboa pet Hospital a call!

  •           6/5/2017

    LOVE everything about this place!!! The people are all super nice & caring. I never feel like they’re trying to sell me stuff I don’t need. The vets (especially Dr. Alice Chan) are wonderful, I always fee; comfortable coming here whenever Walle has an issue. They even help me file the insurance claims after each visit! Would highly recommended any pet owners to see them for their fur-baby needs.

  •           6/5/2017

    My dog has been a regular patient since 7 years ago. Once in a while we visit other hospitals due to time conflicts. However, we always go back to Balboa Pet Hospital. My dog has bad allergy and the doctors and assistants always follow up with us after the treatments or visits, help us submit the insurance claims. It’s not a cheapest place to go but their patience and caring are irreplaceable.

  •           4/28/2017

    I’m glad to have found Balboa Pet Hospital near my home. It’s definitely a hidden gem! Dr. Chan saw my dog, Oreo, for her skin problem last week, and my three cats, Pepper, Tofu and Cola, today for annual check-up. She’s very patient (especially with Oreo who’s shy to strangers), knowledgeable and approachable. The front staffs are also very friendly and helpful. They are so prompt to reply my email (within a few hours when I checked back my mailbox). All my pets are about 1-year-old and I’ll definitely bring them here for their health issues/checkup in many years followed.

  •           5/4/2017

    Brought my dog here for a checkup and some minor concerns. Dr. Chan was very professional. She got my dog the treatment he needed and answered all my questions regarding my concerns. The rest of the staff were very friendly and gentle with my dog. You could tell that the staff are genuine animal lovers; definitely something you want when you entrust the health of your pet to someone.

  •           5 of 5

    Been bringing our animals to Balboa for over 25 years and will continue because they provide great advice and care. We love Dr. D and staff are really helpful and friendly. Now if I can find medical care for myself like my animals get at Balboa...

  •           5 of 5

    I have been a patron of Balboa Pet Hospital for almost 500 years now (wink). I love Everybody there and feel they are have always been a great resource and the BEST support system for everything pertaining to my pets.

  •          

    The staff is very kind and gentle, the doctors are very caring and patient when dealing with my scared cat Lulu. I appreciate the time they took to put her at ease and making this procedure as painless as possible for the both of us. Will definitely be spreading the word. Thank you Balboa Pet Hospital.
     

    Linda P.

    San Francisco, CA

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